Provider Data & Compliance Specialist

County of Ventura; Ventura (CA); On-site; USD 40,000 - 62,000; Full time

Job summary

County of Ventura Health Care Agency seeks an Administrative Assistant I to maintain provider data, support enrollment and communications, and assist with reporting and inquiries. The role requires strong organizational skills, Microsoft Word/Excel proficiency, and excellent customer service in a health care setting.

The incumbent will handle routine duties, maintain SOPs, and support credentialing activities, with opportunities to interface with providers, members, and management.

Qualifications

• Administrative Assistant I can be demonstrated by possession of an Associate Degree in a related field and/or one (1) year of administrative, clerical, or office support experience.
• Possession of or the ability to obtain and maintain a valid California driver license.
• Excellent written communication skills must be demonstrated in the employment application and supplemental questionnaire.
• Proficiency in Microsoft Word and Excel.
• Desirable: experience with DMHC regulations and provider networks.

Responsibilities

• Maintains provider data accuracy in the QNXT claims processing system including provider enrollment.
• Answers calls from providers and members.
• Analyzes and prepares reports and surveys.
• Oversees provider directory maintenance and communications.
• Provides customer service to members, clinics and other entities within the County.
• Maintains Standard Operating Procedures related to responsibilities.
• Back-up support to credentialing and provider dispute functions.
• Performs other related duties as required.

Skills

Microsoft Word

Microsoft Excel

Customer service

Communication skills

Organizational skills

Data maintenance

Education

Associate Degree in related field

Tools

QNXT system

Job description

County of Ventura Health Care Agency seeks an Administrative Assistant I to maintain provider data, support enrollment and communications, and assist with reporting and inquiries. The role requires strong organizational skills, Microsoft Word/Excel proficiency, and excellent customer service in a health care setting.

The incumbent will handle routine duties, maintain SOPs, and support credentialing activities, with opportunities to interface with providers, members, and management.